Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAY T ELLIS, PT, DPT, CSCS
ActiveJAY T ELLIS, PT, DPT, CSCS is a Contractor healthcare provider located in IDAHO FALLS, Idaho. NPI 1811924012 is currently active in the NPPES registry. Verify at CMS.
Contractor · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1811924012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2006 (20.093288290354 yrs)
- Last Updated
- Mar 4, 2011
- License
-
RPT231 (ID)
Practice Information
- Address
-
3100 S WOODRUFF AVEIDAHO FALLS, ID, 834048310Browse ID providers · Browse ZIP 83404
- Phone
- 2085238879
- Fax
- 2085230436
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DEVAN PAUL KRESS | MPT | 1639277684 |
| MISS DIANE K BAIRD | OTR | 1316167687 |
| DR. JASON EARL BAILEY | DPT | 1093237935 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.